Skin, Hair and Nails Subjective data PDF

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Skin, Hair, and Nails Results | Turned In Holistic Health Assessment Across the Lifespan - August 2020, NURS 3315 Return to Assignment (/assignments/360802/)

Your Results

Overview

Lab Pass (/assignment_attempts/7585112/lab_pass.p

Subjective Data Collection: 23 of 23 (100.0%)

Transcript Subjective Data Collection

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Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

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Objective Data Collection Documentation

Category

Scored Items

Patient Data Not Scored

Experts selected these topics as essential components of a strong, thorough interview with this patient.

A combination of open and closed questions will yiel better patient data. The following details are facts of patient's case.

Relevant Medical History

Asked about foot wound

Reports swelling has improved Reports wound warmth has improved Reports wound discharge has improved Reports wound is still a little red

Asked history of slow healing wounds

Asked current wound healing time

Denies history of slow healing wounds

Reports wound had been getting worse over the past week Reports wound has improved with hospital treatment

Asked about history of skin conditions

Reports acne Reports dry skin Denies skin cancer Denies skin rashes Denies sores other than foot wound Reports skin has only itched due to cat exposure Denies bruising

Followed up on skin dryness

Reports arms and legs get

Reports using lotion

Followed up on acne

Reports having acne since middle school Reports current acne Reports acne had been dormant but got worse recently

Asked about acne treatment

Reports last seeing a doctor for acne in high school Reports doctor prescribed antibiotics for acne Reports antibiotic for acne was tetracycline Reports antibiotics were ineffective Reports only current treatment is washing her face Reports washing her face every night

Asked acne location

Reports acne is located on her face Reports acne is located on her back

Asked if patient has moles

Reports moles

Asked about mole changes

Denies mole changes

Asked about mole appearance

Reports moles are "just regular moles"

Asked about mole location

Reports moles are located on her back

Asked about changes in skin color

Reports folds in neck are getting darker

Asked about neck skin sensation

Denies itchy neck skin Denies neck skin tingling Denies neck skin pain Reports belief that neck skin has thickened

Asked about neck skin change onset

Reports a photograph from years earlier shows darkening skin Reports perceiving that skin was darkening in the last few months

Asked about changes in body hair

Reports increase in body hair Reports increased hair on face Reports increased hair on abdomen Reports increased hair around nipples

Asked about body hair onset

Reports body hair has been increasing for a long time

Review of Systems

Asked about hair and scalp problems

Denies scalp problems Denies problems with head hair Denies dandruff

Asked about nails

Denies change in character of nails Denies nail fungus

Asked about tanning and sun exposure

Denies tanning Reports using sun block Reports sun block is SPF 35

Asked about related medical conditions

Reports diabetes

Asked family history of hair problems

Denies family history of hair problems

Relevant Family History

Asked family history of skin conditions

Denies family history of skin conditions Denies family history of skin cancer

Comments If your instructor provides individual feedback on this assignment, it will appear here.

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